Scholarship Application 

 

Please complete the application in it’s entirety. If awarded, this scholarship will cover the cost of the Wild Woman curriculum. You will only be responsible for paying $250.00 towards your meals and $195.00 for lodging for the week.

The cost of airline ticket, travel insurance and other travel accommodations including transportation to and from SJO airport are NOT included.

Name *
Name
Address *
Address
Tax Information and Finances (please enter 0 if not applicable)
Home Information
Do you have any dependents? *
Do you anticipate financial assistance from any other source? *
Do you pay child support? *
Dietary Requirements
Other
If awarded a scholarship, you will be assigned to a shared room. Do you agree to this arrangement?